Abstract：
Approximately 40% of children with deafness have an additional developmental disorder or major medical problem, which may delay the age of diagnosis of hearing loss and/or require intervention by other professionals. This situation is referred to as \"deafness with added disability\" (AD+). The reason why the population of hearing-impaired children is more likely to have associated added disabilities is that the risk factors for hearing impairment overlap with those for many other disabilities. These factors can influence various aspects of development, including language acquisition. It is important to check that appropriate care is received, the effectiveness of hearing aids or implants, as well speech therapy intervention strategies, and family adherence to sessions and appointments. The challenge posed by AD+ is early detection, to allow early and appropriate intervention, and the need for fluid transdisciplinary collaboration between all professionals involved, together with the involvement of the family.
摘要：
大约40%的耳聋儿童有额外的发育障碍或重大医疗问题，这可能会延迟听力损失的诊断年龄和/或需要其他专业人员的干预。这种情况被称为“附加残疾的耳聋”(AD+)。听力受损儿童群体更有可能患有相关附加残疾的原因是听力受损的风险因素与许多其他残疾的风险因素重叠。这些因素会影响发展的各个方面，包括语言习得。重要的是要检查是否得到了适当的护理，助听器或植入物的有效性，言语治疗干预策略，以及家庭对会议和约会的坚持。AD+带来的挑战是早期检测，为了允许早期和适当的干预，以及所有相关专业人员之间需要流畅的跨学科合作，以及家庭的参与。
